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If you already know what plans you are considering (or once you consult with the broker and get an idea), use this to see if your doctor is in the network of any of those health plans. Also use this service to choose a primary care physician (PCP) for the HMO plan you choose. In addition, you may use this to find a specialty care doctor.
Any of the directories of providers were accurate to the best of the various health plan's knowledge at the time the data was
posted to their respective web sites. However, physicians, hospitals and IPA/medical groups may change contractual
arrangements with health plans throughout the year, so keep in mind that the directories are only a guide and you must verify the
information directly with the health plan before incurring medical costs based on the information provided in their directory.
You would be responsible for any services rendered by a provider no longer contracted with the health plan or PPO network.
The participation of any physician or other health care provider cannot be guaranteed.
Although specialty providers are listed in some directories, a referral may be neccessary to access specialty care and would
be determined by the medical group or IPA with which you are enrolled. This may especially be true if the plan is an HMO or
similar plan. |